Mentor Feedback Form

Mentor/Mentee Details

Date*

Mentor: Full Name

First

Last

Mentee: Full Name*

First

Last

Email address*

Please type the characters*

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Guidelines for Completing the Form

Key Observations: Examples/Observations: Briefly describe any notable behaviours or situations (positive or negative) that significantly impacted the mentee’s progress or performance. Rate each dimension on a scale of 1-5 (1 = Poor, 5 = Excellent). Development Steps: Improvement Plan: Outline specific actions or strategies to address areas needing development or to build on strengths. Ensure these plans are measurable and time-bound.

Overall Assessment

Describe your mentoring sessions:*

Have your mentoring goals been achieved? *

Yes

No

If No, what could be improved to support goal achievement?*

New skills or knowledge gained:*

Highlight any specific skills, knowledge, or insights the mentee has acquired during this period.

Additional comments:*

Provide any other feedback or observations you’d like to share.

This field should be left blank

Introduction

Mentor/Mentee Details

Guidelines for Completing the Form

Goals & Objectives

Growth & Development

Emotional Intelligence Development

Strategic Critical Thinking Skills

Overall Assessment